The obese patient as a surgical risk.

Obesity has become a serious problem in the United States. The increasing prevalence of obesity makes the likelihood of clinicians caring for these individuals high. Several considerations for the preoperative care of these patients include appropriate assessment, particularly of the cardiopulmonary systems, and a thorough clinical examination. Intraoperative concerns include appropriate equipment, medication, positioning, and cardiopulmonary monitoring. Postoperative care for the obese patient requires special concern regarding oxygenation and wound healing.